1980, 05-07 Permit: 80-2489 Inspect •
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
- 7 --�o oar C Ad .P
,
(PLAN NUMEER -- _ APPLICATION/PERMIT -FERN,J UMN
r I Ao-z'¢P9 r
I, I SPOKANE COUNTY—BUILrlING CODES DEPARTMENT
NORTH Err JEFF EREON,i'SPOKANE,I.oSInINOTON 119200 r 1091 .3815 DATE 1-�-FL
APPLICANT: COMPLETE NUMBERED SPACES .PRESS i.:lt0 TO MAKE 4 COPIES I.
11 JOB ADDRESS
DRESSA� UG• •7.00
i.7 JON 0 a 550 LEGAL DESCRIPTION-SEE ATTACHED •700 B
° McER1!
Y PARCEL np a g A t
n'ER PHONE
3. P ..Z.aa.4,.�e2,.N 4 - G
AD SS �Q'02 S 03...2080so
Aepui.eel SOI lec einFeet f 6479,
PHONE
f. fA 0 AA./ .8 of Fera .pLHl,lul
ADpq E55 ZIP TYPO Cons, OCCup.rro SPNnkIend
DUN ONo D Rep,DESIGESIG DESIGNER
PHONE Veluellon Building Arm In So.Pl.
6' ADDRSN sip OWL Ane IfuemenI Area C..eg•Arm I Storms 1
•
CHANGE OF USE FROM TO Split Entry Spill Level Rancher
6.
7. OTVPIP O NEW D ALT. D AEON. D RFL. D MVE. N.Baths No.Floss. N0.Room, l Rec.Room
WOgN D BLD. ❑PLMB. (g MECH: ❑M.H. ❑P00001_ D OTHER CERTIFICATEr 70.O. I pec d, ryot Rp'd.
6'.ito/[�SC ��]R; of EXEMPTION
Rmri-.4G(_ Vri..1�1([,{.S(/,/.(// (� FEES COLLECTED
VALUATION Milt.
OAB T ELECT.IC wgTER SEWER
B• UIIIIfNe
Single f
I hereby certify that I have lead and examined the application ani have read the -Nt., ntluded '
on reverse side.and knew the same Ill he true and correct.act.Aill p`Isvielo s of laws .f governing II;.. BulSing ,
type of work will be complied with whethert specified herein o I The granlnl'i 'II.,.,not
u Dive auMonty to violate or cancel theno-melons of a othei clef.,m Inca)la ¢fiomeson.
lo lima
performance of construction. / //�// a Plumbing pJ
GATE .�-.Z-U-PQ .n�'vA ltlHbiL �•W�CE(/'tS.f'Li..._ Mech. "' 7�
SPECIAL APPROVALS SPECIAL CONDITIONS;
DEPT. REG'°. REC D. Plan Check
Env.Heeltn �"
Nanning
SEPA
PIN Meranall ..4,,,2).. Mobile Home
•
co.EmM.r. Other ISPxifyl r
Utilities
Zone ClearanceTOTAL f
R .
WHEN MACHINE Vol,